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Aspiration therapy in septic coronary embolism complicating infectious endocarditis
  1. P Motreff,
  2. A Roux,
  3. G Souteyrand
  1. Correspondence to Dr Antoine Roux, Department of Cardiology, Gabriel Montpied Hospital, C.H.U Clermont-Ferrand, 63000 Clermont-Ferrand, France; anroux{at}chu-clermontferrand.fr

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A 74-year-old man was admitted for infectious endocarditis 12 years after aortic valve replacement with a mechanical prosthesis. Echocardiography showed vegetations and prosthetic dysfunction; blood cultures identified Streptococcus gallolyticus. Antibiotherapy according to the antibiogram was administered while severe respiratory insufficiency contraindicated new surgery (figure 1).

Figure 1

Septic coronary embolism: coronary angiography before (A) and after aspiration therapy (B); …

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